This log is also available as text (224bc.txt) and as a (binary) annotation file (224bc.log).
Generated: Thursday, 23-Apr-2009 00:35:48 EDT
(All dates below are surrogates.)
id: INV#1Chg o/Wire Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV#2Chg o/Wire Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: Service Type t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Posterior st: NotStopd id: Code Status t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: GI Prophylaxis t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: GI#1 Intub Site t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Eye Opening t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 To pain st: NotStopd id: Follows Commands t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 5 n1: 5 u1: points st: NotStopd id: GI Intub #1/Site t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: GU Catheter Size t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 14 French st: NotStopd id: HOB t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 45 degrees st: NotStopd id: Heart Rate t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Heart Rhythm t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: INV Line#1 Site Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#1 Type/Site t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#2 Type/Site t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: ImpSkin Character #1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Petechiae st: NotStopd id: ImpSkin Character #4 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Hematoma st: NotStopd id: ImpSkin Drain/Amt#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Serous v2: Small st: NotStopd id: ImpSkin Treatment #4 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Open to Air st: NotStopd id: ImpSkin Wound Base#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Impaired Skin Site#4 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Chest st: NotStopd id: LL Strength/Movement t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: LLE Temp/Color t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LU Strength/Movement t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: LUE Temp/Color t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unresponsive st: NotStopd id: Motor Response t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Oral Cavity t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Oral Ulcers st: NotStopd id: Orientation t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 65 n2: 65 u2: mmHg st: NotStopd id: Arterial BP t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 82 n1: 82 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: mmHg st: NotStopd id: Position t0: [08:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Position t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: PostTib. Pulses R/L t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: PresSoreStage/Heal#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Red, Unbroken st: NotStopd id: Press Sore Site #2 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: PressSoreCleansing#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Soap & H20 st: NotStopd id: PressSoreTreatment#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Open to Air st: NotStopd id: INV#1 Dsg Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: PressSoreTreatment#2 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Pink st: NotStopd id: Pressure Sore Site#1 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Hip, Right st: NotStopd id: ABP Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: RLE Temp/Color t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RU Strength/Movement t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: RUE Temp/Color t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Respiratory Pattern t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Respiratory Rate t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 23 n1: 23 u1: BPM st: NotStopd id: Respiratory Rate t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 19 n1: 19 u1: BPM st: NotStopd id: Side Rails t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Integrity t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: SpO2 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 97 n1: 97 u1: % st: NotStopd id: Spontaneous Movement t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Support Systems t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Temp. Site t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 35.5556 n1: 35.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: Deg. F st: NotStopd id: Therapeutic Bed t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Urine Color/Appear t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 Incomp sounds st: NotStopd id: calprevflg t0: [11:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Fingerstick Glucose t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 121 n1: 121 rs: Manual st: NotStopd id: Bowel Sounds t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: CT #1 Crepitus t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive st: NotStopd id: CT #1 Drainage t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Serous st: NotStopd id: CT #1 Dressing t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Changed st: NotStopd id: CT #1 Fluctuate/Leak t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 20 cm st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [11:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [12:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [11:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [12:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [11:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [12:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [11:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [12:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [11:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [12:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [11:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [12:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: O2 Delivery Device#2 t0: [13:00:00 23/05/2013] el: 0 cg: -1 cu: -1 st: D/C'd id: O2 Flow (lpm) #2 t0: [13:00:00 23/05/2013] el: 0 cg: -1 cu: -1 st: D/C'd id: In-Line Sx Change t0: [13:00:00 23/05/2013] el: 0 cg: -1 cu: -1 st: D/C'd
id: Service Type t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: HOB t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rate t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Heart Rhythm t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Activity t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: AntiEmbDevice/Status t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Position t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Supine st: NotStopd id: Assistance Device t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 Person Assist st: NotStopd id: Precautions t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Respiratory Rate t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: Skin Care t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: SpO2 t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Therapeutic Bed t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: Back Care t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [13:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [13:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [14:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [13:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [14:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [13:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [14:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [13:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [14:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [13:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [14:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [13:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [14:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Extubation Date t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 25 n2: 25 st: NotStopd id: Extubation Date t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 25 n2: 25 st: NotStopd id: FiO2 Set t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: O2 Delivery Device t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Face Tent st: NotStopd id: O2 Delivery Device#2 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Nasal Cannula st: NotStopd id: O2 Flow (lpm) t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [14:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) #2 t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 n1: 2 u1: lpm st: NotStopd
id: Fingerstick Glucose t0: [14:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: 106 n1: 106 rs: Manual st: NotStopd
id: Service Type t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [12:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unarousable st: NotStopd id: Riker-SAS Scale t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unarousable st: NotStopd id: Risk for Falls t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Heart Rate t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rate t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Heart Rhythm t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Arterial BP t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 125 n1: 125 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 76 n1: 76 u1: mmHg st: NotStopd id: Precautions t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: Respiratory Rate t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 28 n1: 28 u1: BPM st: NotStopd id: SpO2 t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 92 n1: 92 u1: % st: NotStopd id: calprevflg t0: [15:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [15:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [16:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [15:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [16:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [15:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [16:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [15:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [16:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [15:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [16:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [15:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [16:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Temp. Site t0: [16:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [16:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: 36.5 n1: 36.5 u1: Deg. C st: NotStopd id: Temperature F t0: [16:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: 97.7 n1: 97.7 u1: Deg. F st: NotStopd id: Fingerstick Glucose t0: [16:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: 119 n1: 119 rs: Manual st: NotStopd
id: INV#1Chg o/Wire Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV#2Chg o/Wire Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: Service Type t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Service Type t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Chest Tube Site #1 t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Posterior st: NotStopd id: Code Status t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Code Status t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Riker-SAS Scale t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unarousable st: NotStopd id: GI Prophylaxis t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Risk for Falls t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Risk for Falls t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Diet Type t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Ectopy Frequency t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Frequency t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Ectopy Type t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: GI#1 Intub Site t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Extubation Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 25 n2: 25 st: NotStopd id: Extubation Date t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 25 n2: 25 st: NotStopd id: Eye Care t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Eye Opening t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: FiO2 Set t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: FiO2 Set t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 3 n1: 3 u1: points st: NotStopd id: GI Intub #1/Site t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: GU Catheter Size t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 14 French st: NotStopd id: HOB t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Heart Rate t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rate t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: BPM st: NotStopd id: Heart Rhythm t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Heart Rhythm t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: INV Line#1 Site Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#1 Type/Site t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#1InsertDate t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#2 Type/Site t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: INV Line#2InsertDate t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tolerated Well st: NotStopd id: Impaired Skin Site#1 t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: LL Strength/Movement t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: LLE Temp/Color t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cool v2: Normal st: NotStopd id: LLL Lung Sounds t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LU Strength/Movement t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: LUE Temp/Color t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unresponsive st: NotStopd id: Motor Response t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: O2 Delivery Device t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Face Tent st: NotStopd id: O2 Delivery Device t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: lpm st: NotStopd id: O2 Flow (lpm) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Oral Ulcers st: NotStopd id: Orientation t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Arterial BP t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 120 n1: 120 u1: mmHg v2: 58 n2: 58 u2: mmHg st: NotStopd id: Arterial BP t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 123 n1: 123 u1: mmHg v2: 60 n2: 60 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Arterial BP Mean t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 74 n1: 74 u1: mmHg st: NotStopd id: Position t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Precautions t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Precautions t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: Press Sore Site #2 t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: INV#1 Dsg Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Pressure Sore Site#1 t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Hip, Right st: NotStopd id: ABP Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: ABP Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: HR Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: NBP Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: Resp Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: RL Strength/Movement t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: RLE Temp/Color t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cool v2: Normal st: NotStopd id: RLL Lung Sounds t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RU Strength/Movement t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No Movement st: NotStopd id: RUE Temp/Color t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Respiratory Rate t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 27 n1: 27 u1: BPM st: NotStopd id: Respiratory Rate t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: BPM st: NotStopd id: Side Rails t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: SpO2 t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: SpO2 t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: Spontaneous Movement t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Support Systems t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: Urine Color/Appear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Amber v2: Sediment st: NotStopd id: Urine Source t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 No Response st: NotStopd id: Back Care t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: calprevflg t0: [17:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: calprevflg t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd id: Bowel Sounds t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Consist. Moist st: NotStopd id: Braden Nutrition t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Adequate st: NotStopd id: Braden Score t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 9 n1: 9 u1: number st: NotStopd id: Braden SensoryPercep t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd id: CT #1 Crepitus t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive st: NotStopd id: CT #1 Drainage t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Serous st: NotStopd id: CT #1 Dressing t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [16:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 20 cm st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [17:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [18:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [17:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [18:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [17:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [18:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [17:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Dobutamine t0: [18:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [17:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Insulin t0: [18:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [17:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip id: Vasopressin t0: [18:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: HOB t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: Activity t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: AntiEmbDevice/Status t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Position t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd id: Assistance Device t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: Therapeutic Bed t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Side st: NotStopd
id: Chest Tube Out Total t0: [23:00:00 23/05/2013] el: 3 cg: RN cu: -1 cv: 320 ac: 24 ap: none re: 0
id: Fingerstick Glucose t0: [18:00:00 23/05/2013] el: 0 cg: CoWork cu: -1 v1: 110 n1: 110 rs: Manual st: NotStopd
id: Skin Care t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Back Care t0: [18:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd
id: Stool Out Stool t0: [16:00:00 23/05/2013] el: 1 cg: RN cu: -1 vu: ml es: Large id: Stool Out Stool t0: [18:00:00 23/05/2013] el: 1 cg: RN cu: -1 vu: ml es: Large
id: Stool Out Total t0: [23:00:00 23/05/2013] el: 3 cg: RN cu: -1 cv: 0 ac: 24 ap: carryForward re: 0
id: Service Type t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Heart Rate t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Arterial BP t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 116 n1: 116 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 73 n1: 73 u1: mmHg st: NotStopd id: Precautions t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 21 n1: 21 u1: BPM st: NotStopd id: SpO2 t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 96 n1: 96 u1: % st: NotStopd id: calprevflg t0: [19:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [19:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml nb: 1 id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [19:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [19:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [19:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 2 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [19:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [19:00:00 23/05/2013] el: 0 cg: CoWker cu: -1 v1: 103 n1: 103 rs: Manual st: NotStopd
id: Service Type t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 25 n1: 25 u1: mmHg st: NotStopd id: Code Status t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Heart Rate t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 80 n1: 80 u1: BPM st: NotStopd id: Heart Rhythm t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Arterial BP t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 124 n1: 124 u1: mmHg v2: 62 n2: 62 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: mmHg st: NotStopd id: Precautions t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: Temp. Site t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Axillary st: NotStopd id: Temperature C (calc) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 36.5556 n1: 36.5556 u1: Deg. C st: NotStopd id: Temperature F t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 97.8 n1: 97.8 u1: Deg. F st: NotStopd id: calprevflg t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [20:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 2 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [20:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [20:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [20:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [20:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [20:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Service Type t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: Code Status t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Alarms t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: ON st: NotStopd id: Parameters Checked t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Heart Rate t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 79 n1: 79 u1: BPM st: NotStopd id: Heart Rhythm t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Arterial BP t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 127 n1: 127 u1: mmHg v2: 64 n2: 64 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 81 n1: 81 u1: mmHg st: NotStopd id: Precautions t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 26 n1: 26 u1: BPM st: NotStopd id: SpO2 t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 95 n1: 95 u1: % st: NotStopd id: calprevflg t0: [19:30:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: Dobutamine t0: [19:30:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [19:30:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [19:30:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Pain Level t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 5-Moderate st: NotStopd id: Pain Present t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV#1Chg o/Wire Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV#2Chg o/Wire Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: Pain Assess Method t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Grimace Scale st: NotStopd id: Chest Tube Site #1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Left Posterior st: NotStopd id: Riker-SAS Scale t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Calm/Cooperative st: NotStopd id: Daily Wake Up t0: [20:00:00 23/05/2013] el: 1 cg: RN cu: -1 v1: No/Not Sedated st: NotStopd id: GI Prophylaxis t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Proton/Pump/Inhi st: NotStopd id: Diet Type t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Tube Feeding st: NotStopd id: Dorsal PedPulse R/L t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: GI#1 Intub Site t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: Education Topic #1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Plan of Care st: NotStopd id: Extubation Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 25 n2: 25 st: NotStopd id: FiO2 Set t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0.5 n1: 0.5 u1: torr st: NotStopd id: Follows Commands t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: No st: NotStopd id: GCS Total t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 8 n1: 8 u1: points st: NotStopd id: GI Intub #1/Site t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding/Peditube v2: Left Nare st: NotStopd id: GI#1 Tube PlaceCheck t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Not Done st: NotStopd id: GI#1 Tube Stat/Drain t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Feeding st: NotStopd id: GU Cath Insert Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: GU Catheter Size t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 14 French st: NotStopd id: HOB t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 30 degrees st: NotStopd id: INV Line#1 Site Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#1 Type/Site t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: A-Line v2: Left Radial st: NotStopd id: INV Line#1 Zero/Cal t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#1InsertDate t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#1SiteAppear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: INV Line#2 Site Date t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 24 n2: 24 st: NotStopd id: INV Line#2 Type/Site t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Multi-lumen v2: Right IJ st: NotStopd id: INV Line#2 Zero/Cal t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: INV Line#2InsertDate t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 20 n2: 20 st: NotStopd id: INV Line#2SiteAppear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: WNL st: NotStopd id: Abdominal Assessment t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Soft Distended st: NotStopd id: INV#1 WaveformAppear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: INV#2 WaveformAppear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Sharp st: NotStopd id: Activity t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedrest st: NotStopd id: Activity Tolerance t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Fair st: NotStopd id: ImpSkin Character #1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Petechiae st: NotStopd id: ImpSkin Character #4 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Abrasion st: NotStopd id: ImpSkin Drain/Amt#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: ImpSkin Drain/Amt#4 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: ImpSkin Treatment #4 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: ImpSkin Wound Base#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Pink st: NotStopd id: ImpSkin Wound Base#4 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Pink st: NotStopd id: Impaired Skin Site#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Back st: NotStopd id: LL Strength/Movement t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Moves on Bed st: NotStopd id: LLE Temp/Color t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cold v2: Mottled st: NotStopd id: LLL Lung Sounds t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Diminished st: NotStopd id: LU Strength/Movement t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Moves on Bed st: NotStopd id: LUE Temp/Color t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: LUL Lung Sounds t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Level of Conscious t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unresponsive st: NotStopd id: Motor Response t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 5 Localizes Pain st: NotStopd id: O2 Delivery Device t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Face Tent st: NotStopd id: O2 Flow (lpm) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 10 n1: 10 u1: lpm st: NotStopd id: Oral Care t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Oral Cavity t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Oral Ulcers st: NotStopd id: Orientation t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unable to Assess st: NotStopd id: AntiEmbDevice/Status t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Compress Sleeves v2: On st: NotStopd id: Pain Cause t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Activity st: NotStopd id: Pain Level (Rest) t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 5-Moderate st: NotStopd id: Pain Location t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Incisional st: NotStopd id: Position t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Right Side st: NotStopd id: PostTib. Pulses R/L t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Weak Palpable v2: Weak Palpable st: NotStopd id: Assistance Device t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 Person Assist st: NotStopd id: PresSoreStage/Heal#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Red, Unbroken st: NotStopd id: Press Sore Site #2 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coccyx st: NotStopd id: PressSore Drng/Amt#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: PressSoreTreatment#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Open to Air st: NotStopd id: INV#1 Dsg Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Dsg Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: PressSoreTreatment#2 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Duoderm st: NotStopd id: PressSoreWoundBase#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Pink st: NotStopd id: Pressure Sore Site#1 t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Hip, Right st: NotStopd id: Pupil Response R/L t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Brisk v2: Brisk st: NotStopd id: Pupil Size R/L t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 3 mm v2: 3 mm st: NotStopd id: RL Strength/Movement t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Moves on Bed st: NotStopd id: RLE Temp/Color t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Cool v2: Mottled st: NotStopd id: RLL Lung Sounds t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: RU Strength/Movement t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Moves on Bed st: NotStopd id: RUE Temp/Color t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Warm v2: Normal st: NotStopd id: RUL Lung Sounds t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Coarse st: NotStopd id: Respiratory Pattern t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Irregular st: NotStopd id: Restraint Location t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: None st: NotStopd id: Side Rails t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: All rails up st: NotStopd id: Skin Care t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Skin Integrity t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Impaired st: NotStopd id: Spontaneous Movement t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Nonpurposeful st: NotStopd id: Stool Color/Consist t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Brown v2: Loose st: NotStopd id: Stool Guaiac t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Negative st: NotStopd id: Stool Management t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Other/Remarks st: NotStopd id: Support Systems t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Spouse st: NotStopd id: INV#1 Cap Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#1 Tubing Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Cap Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: INV#2 Tubing Change t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 4 n1: 4 v2: 27 n2: 27 st: NotStopd id: Therapeutic Bed t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Airbed/Kinair st: NotStopd id: Turn t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Side to Side st: NotStopd id: Urine Color/Appear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yellow v2: Sediment st: NotStopd id: Urine Source t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Indwelling Cath st: NotStopd id: Verbal Response t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 2 Incomp sounds st: NotStopd id: Back Care t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Done st: NotStopd id: Behavior t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Unresponsive st: NotStopd id: Bowel Sounds t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Present st: NotStopd id: Braden Activity t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Bedfast st: NotStopd id: Braden Frict/Shear t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Potential Prob st: NotStopd id: Braden Mobility t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Comp. Immobile st: NotStopd id: Braden Moisture t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Rarely Moist st: NotStopd id: Braden Nutrition t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Prob. Inadequate st: NotStopd id: Braden Score t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 11 n1: 11 u1: number st: NotStopd id: Braden SensoryPercep t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Comp. Limited st: NotStopd id: CT #1 Crepitus t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive st: NotStopd id: CT #1 Drainage t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Serous st: NotStopd id: CT #1 Dressing t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Dry and Intact st: NotStopd id: CT #1 Fluctuate/Leak t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Positive v2: Negative st: NotStopd id: CT #1 Suction Amount t0: [20:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 20 cm st: NotStopd
id: Service Type t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: MICU st: NotStopd id: CVP t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 31 n1: 31 u1: mmHg st: NotStopd id: Code Status t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Do Not Resuscita st: NotStopd id: Risk for Falls t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Yes st: NotStopd id: Ectopy Frequency t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Occasional st: NotStopd id: Ectopy Type t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: PVC's st: NotStopd id: Heart Rate t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 78 n1: 78 u1: BPM st: NotStopd id: Heart Rhythm t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: V Paced st: NotStopd id: Arterial BP t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 115 n1: 115 u1: mmHg v2: 57 n2: 57 u2: mmHg st: NotStopd id: Arterial BP Mean t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 71 n1: 71 u1: mmHg st: NotStopd id: Precautions t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: Universal st: NotStopd id: ABP Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: CVP Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 0 n1: 0 u1: mmHg v2: 28 n2: 28 u2: mmHg st: NotStopd id: HR Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 60 n1: 60 u1: BPM v2: 120 n2: 120 u2: BPM st: NotStopd id: NBP Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 90 n1: 90 u1: mmHg v2: 160 n2: 160 u2: mmHg st: NotStopd id: Resp Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 6 n1: 6 u1: BPM v2: 30 n2: 30 u2: BPM st: NotStopd id: SpO2 Alarm (Lo/Hi) t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 85 n1: 85 u1: % v2: 100 n2: 100 u2: % st: NotStopd id: Respiratory Rate t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 29 n1: 29 u1: BPM st: NotStopd id: SpO2 t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 93 n1: 93 u1: % st: NotStopd id: calprevflg t0: [21:00:00 23/05/2013] el: 0 cg: RN cu: -1 v1: 1 n1: 1 u1: kg st: NotStopd
id: .9% Normal Saline 100.0ml + 100Uhr Insulin t0: [21:00:00 23/05/2013] el: 1 ai: 209 cg: RN cu: -1 vo: 1 vu: ml id: D5W 250.0ml + 250mcgkgmin Dobutamine t0: [21:00:00 23/05/2013] el: 3 ai: 296 cg: RN cu: -1 vo: 4.95 vu: ml id: D5W 250.0ml + 200Uhr Vasopressin + 200Umin Vasopressin t0: [21:00:00 23/05/2013] el: 1 ai: 155 cg: RN cu: -1 vo: 1.5 vu: ml
id: Dobutamine t0: [21:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: mcgkgmin so: D5W sv: 250 su: ml rt: IV Drip id: Insulin t0: [21:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1 du: Uhr so: .9% Normal Saline sv: 100 su: ml rt: IV Drip id: Vasopressin t0: [21:00:00 23/05/2013] el: 1 cg: RN cu: -1 vo: 0 do: 1.2 du: Umin so: D5W sv: 250 su: ml rt: IV Drip
id: Fingerstick Glucose t0: [21:00:00 23/05/2013] el: 0 cg: CoWker cu: -1 v1: 100 n1: 100 rs: Manual st: NotStopd